Active NPI
Ronald M Bateman, D.O.
- Rehabilitation Practitioner
- Golden Valley, MN
National Provider Identifier
1427097070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 22770
- Practice address
- 3915 Golden Valley Rd
Golden Valley, MN 55422-4249 - Phone
- (763) 520-0454
- Fax
- (763) 520-0727
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 22770 | MN | Primary |
Addresses
Primary practice location
3915 Golden Valley Rd
Golden Valley, MN 55422-4249
Mailing address
3915 Golden Valley Rd
Golden Valley, MN 55422-4249
Phone (763) 520-0454
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101451 | Other | MN | UCARE PROV# |
| 971840581001 | Other | MN | PREFERRED ONE PROV# |
| 01008BA | Other | MN | BCBS OF MN GR# |
| 2303831 | Other | MN | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22770 | MN | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1427097070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224249",
"telephone_number": "763-520-0454",
"fax_number": "763-520-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224249",
"telephone_number": "763-520-0454",
"fax_number": "763-520-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "RONALD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "MN",
"license": "22770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE PROV#",
"identifier": "101451",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE PROV#",
"identifier": "971840581001",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN GR#",
"identifier": "01008BA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "2303831",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.